文章摘要

早期语言康复护理联合手部训练法对脑卒中失语症患者语言功能的干预效果

作者: 1李铭
1 阜阳市第二人民医院神经内科,安徽 阜阳 236000
通讯: 李铭 Email: 13955892396@163.com
DOI: 10.3978/j.issn.2095-6959.2021.03.024

摘要

目的:探讨早期语言康复护理联合手部训练法对脑卒中失语症患者语言运动的干预效果。方法:选取2018年1月至2019年12月在阜阳市第二人民医院神经内科住院治疗的110例脑卒中失语症患者为研究对象,按简单随机分组法分为对照组与联合组,每组55例。对照组给予早期语言康复常规护理,联合组在对照组基础上联合手部训练法,均持续干预4周。采用《汉语失语症检查表》、波士顿失语诊断测验(Boston Diagnostic Aphasia Examination,BDAE)评估两组语言功能的康复效果并采用中文版脑卒中失语症生活质量量表(Stroke Aphasia Quality of Life Scale,SAQOL-39g)评估两组干预前后生活质量情况。结果:联合组干预4周后口语表达、听力理解和阅读能力评分及总分均高于干预前(P<0.05),也显著高于对照组4周后评分(P<0.05);联合组干预4周后康复总有效率94.55%,明显高于对照组81.82%(P<0.05);联合组干预4周后SAQOL-39g各项评分及总分均明显高于对照组(P<0.05)。结论:早期语言康复护理联合手部训练法能有效促进脑卒中失语症患者语言功能恢复,提高语言康复总有效率和改善生活质量。
关键词: 脑卒中;失语症;早期康复护理;手部训练法;语言功能;生活质量

Intervention effect of early language rehabilitation nursing combined with hand training on language function in stroke patients with aphasia

Authors: 1LI Ming
1 Department of Neurology, Fuyang Second People’s Hospital, Fuyang Anhui 236000, China

CorrespondingAuthor: LI Ming Email: 13955892396@163.com

Abstract

Objective: To explore the intervention effect of early language rehabilitation nursing combined with hand training on language movement in stroke patients with aphasia. Methods: A total of 110 patients with aphasia after stroke who were hospitalized in the Department of Neurology of our hospital from January 2018 to December 2019 were selected as the study objects. They were divided into a control group and a combined group according to simple random grouping method (55 cases in each group). The control group was given early language rehabilitation routine nursing, while the combined group was combined with hand training on the basis of the control group, all of which were continuously observed for 4 weeks. Chinese Aphasia Checklist and Boston Aphasia Diagnostic Examination (BDAE) were used to evaluate the rehabilitation effect of the language function in the two groups, and Chinese version of Stroke Aphasia Quality of Life Scale (SAQOL-39g) was used to evaluate the quality of life of the two groups before and after intervention. Results: The scores and total scores of oral expression, listening comprehension, and reading ability in the combined group were higher than those before the intervention (P<0.05), and significantly higher than those in the control group (P<0.05). The total effective rate of rehabilitation in the combined group after 4 weeks was 94.55%, which was significantly higher than that in the control group (81.82%, P<0.05). The scores and total scores of SAQOL-39g in the combined group were significantly higher than those in the control group (P<0.05). Conclusion: Early language rehabilitation nursing combined with hand training can effectively promote the recovery of language function in stroke patients with aphasia, improve the total effective rate of language rehabilitation and the quality of life.
Keywords: stroke; aphasia; early rehabilitation nursing; hand training method; language function; quality of life